Perception of dry mouth in a sample of community-dwelling older adults in Japan.
Perception of dry mouth in a sample of community-dwelling older adults in Japan.
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DOI：
10.1111/j.1754-4505.2001.tb00225.x
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发表时间：
2001-03-01
期刊：
影响因子：
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通讯作者：
Ettinger, R L
中科院分区：
文献类型：
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作者：
Ikebe, K;Nokubi, T;Ettinger, R L
本研究的目的是检查日本一组独立生活的老年人中感觉口干的患病率，并确定其与一般疾病、药物和牙齿状况的关系，以及对口腔功能的影响。研究人群包括老年公民学院的参与者。通过问卷调查测量清醒时和进餐时口腔干燥的主观感觉。有效问卷1003份，占77.9%。受试者的平均年龄为66.3 ± 4.2岁，53.0%为男性。超过三分之一（37.8%）的受试者报告清醒时口腔干燥。只有9.1%的人在进食时主观感觉口干。至少有一种以上症状者占41.0%。多元逐步logistic回归分析显示以下结果：男性（p < 0.001）、低BMI者（p < 0.05）和服用两种或两种以上处方药者（p < 0.01）清醒时口干的感觉更频繁。低BMI（p < 0.001）和上颌牙弓戴义齿（p < 0.05）的受试者进食时口干感更常见。进食时口干的感觉与自我评估的咀嚼能力（p < 0.01）和对清晰说话的不满（p < 0.05）以及牙齿状况有关。然而，对品尝食物的不满与醒来时口干的报告有显著关系（p < 0.01）。我们的研究结果表明，清醒时口干的人比进食时口干的人比例高得多，这与药物、男性和低BMI有关。这种感觉可能会影响口腔功能，特别是对品尝食物的不满意。
The purpose of this study was to examine the prevalence of perceived dry mouth among a group of independently-living elderly persons in Japan, and to determine its association with general disease, medication, and dental status, as well as its effect on oral function. The study population consisted of participants of the Senior Citizens' College. The subjective sensations of oral dryness on waking and while eating a meal were measured by a questionnaire. The number of usable questionnaires was 1003 or 77.9%. The mean age of the subjects was 66.3 +/- 4.2 years, and 53.0% were male. More than one-third (37.8%) of the subjects reported oral dryness on waking. Only 9.1% of them noticed a subjective feeling of dry mouth during eating. Persons who had at least one of these symptoms made up 41.0%. A multiple stepwise logistic regression analysis indicated the following results: Perception of dry mouth on waking was more frequent among males (p < 0.001), persons who had a low BMI (p < 0.05), and those taking two or more prescribed drugs (p < 0.01). Sensation of dry mouth when eating was more frequent among subjects with a low BMI (p < 0.001) and those who wore a denture in the maxillary arch (p < 0.05). Perception of dry mouth when eating was associated with self-assessed chewing ability (p < 0.01) and dissatisfaction with speaking clearly (p < 0.05), as well as dental status. However, dissatisfaction with tasting a meal had a significant relationship with the reports of mouth dryness on waking (p < 0.01). Our findings suggest that a substantially higher percentage of persons have the perception of dry mouth on waking than when eating, which was associated with medications, being male, and having a low BMI. This perception may influence oral function, especially the reported dissatisfaction with tasting foods.